KRISTA K. MACDONALD (PA-C) – Medical Physician Assistant, NPI 1669556783

KRISTA K. MACDONALD (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601007679 (MI). The NPI Number for KRISTA K. MACDONALD (PA-C) is 1669556783

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
KRISTA K. MACDONALD (PA-C)
NPI
1669556783
Phone
(800) 678-5500
Address
300 68th St SE
Enumeration Date
25 October 2006
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6166855600
Graduation Year
2006 (20 years ago)
PAC ID
0042316424
Group Practice PAC ID
4082807961
Professional Enrollment ID
I20210928000799
Address ID
MI495034608GR250XXSEXX400

Contacts

Secure Messaging
PineRestCMHS@directaddress.pinerest.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness85
Years active:19State licenses:3Other namesUpdated within 12 months

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KRISTA K. MACDONALD (PA-C)

  • 300 68th St SE

    Grand Rapids, MI 495486927

    Phone: (800) 678-5500

    Type: Location

  • 685 PINE MEADOW LN NE

    ADA, MI 493019773

    Phone: (630) 484-3910

    Type: Mailing

  • 300 LAFAYETTE AVE SE # 220

    GRAND RAPIDS, MI 495034692

    Phone: (616) 685-5170

    Type: Location

  • Presence Mercy Medical Center, 1325, North Highland Avenue, Aurora, Kane County, Illinois, 60506, United States

    AURORA, IL 60506

    Phone: (630) 801-2633

    Fax: (630) 801-2685

    Type: Location

  • 527, Rhonda Drive, Lockport, Will County, Illinois, 60441, United States

    LOCKPORT, IL 60441

    Phone: (360) 484-3910

    Fax: (630) 785-9199

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $192.

Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Smith+Nephew, Inc. ($125).

Total Amount

$192

General + Research + Ownership

Payments

4

Total payment records

General Amount

$192

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090226000329IPhysician AssistantILTBD
I20210928000799IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes9780$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2521$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 49548)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082807961View full group profile

Reviews

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Frequently asked questions

How do I look up KRISTA K. MACDONALD (PA-C) by NPI?
Use NPI 1669556783 when you need to reference KRISTA K. MACDONALD (PA-C) in forms, claims, or directories.
Is KRISTA K. MACDONALD (PA-C)'s NPI currently valid?
The extract we use shows KRISTA K. MACDONALD (PA-C) as active.
What field does KRISTA K. MACDONALD (PA-C) work in?
You can think of KRISTA K. MACDONALD (PA-C) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KRISTA K. MACDONALD (PA-C)'s primary listing?
We display Grand Rapids, Michigan because that is what the record indicates for KRISTA K. MACDONALD (PA-C).
Is KRISTA K. MACDONALD (PA-C) a real provider?
This page reflects official NPPES data for NPI 1669556783. Always confirm identity and privileges with the practice and licensing boards.

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